UGANDA STANDARD US 713 First Edition 2008-12-11 Requirements for hygiene in commercial skin penetration, hairdressing, and beauty and natural therapy Reference number US 713: 2008 UNBS 2008
Compliance with this standard does not, of itself confer immunity from legal obligations A Uganda Standard does not purport to include all necessary provisions of a contract. Users are responsible for its correct application UNBS 2008 All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilised in any form or by any means, electronic or mechanical, including photocopying and microfilm, without prior written permission from UNBS. Requests for permission to reproduce this document should be addressed to The Executive Director Uganda National Bureau of Standards P.O. Box 6329 Kampala Uganda Tel: 256 414 505 995 Fax: 256 414 286 123 E-mail: unbs@infocom.co.ug Web: www.unbs.go.ug ii UNBS 2008 All rights reserved
Contents Page Foreword...iv 1 Scope...1 2 Normative references...1 3 Terms and definitions...1 4 Operational requirements...3 4.1 Standard precautions for operators...3 4.1.1 General...3 4.1.2 Requirements for operators personal hygiene...3 4.2 Precautions related to communicable diseases...3 4.3 Precautions related to head lice and scabies...4 4.4 Laundry...4 4.5 First aid...4 5 Precautions for infection control...4 5.1 General...4 5.2 Precautions related to equipment...4 5.3 Precautions related cleaning of equipment...5 5.3.1 General...5 5.3.2 Cleaning prior to disinfecting...5 5.3.3 Disinfection of equipment...5 5.4 Additional precautions for skin penetration...6 5.4.1 Sterilization of equipment...6 5.4.2 Cleaning prior to sterilization...6 5.4.3 Autoclave sterilization using moist heat...7 5.4.4 Problems associated with using other equipment for sterilization...7 5.5 Disinfecting non-penetrating equipment...7 5.6 Skin preparation before piercing...7 5.7 Handling skin penetration instruments...8 5.7.1 Gneral...8 5.7.2 Dyes for tattooing/semi-permanent make up...8 5.7.3 Pads, swabs, cloths, tissues, cotton wool...8 5.8 Ear and body piercing...8 5.8.1 Closed ear piercing...8 5.8.2 Body piercing...8 6 Requirement for premises...8 7 Record keeping...9 8 Waste disposal...9 Annex A (informative) Classification of disinfectants for use in beauty, barbering and hair styling salons...10 Annex B (informative) Classification of items for disinfection...11 Annex C (informative) Precautions to observed when conducting manicure and pedicure...13 UNBS 2008 All rights reserved iii
Foreword Uganda National Bureau of Standards (UNBS) is a parastatal under the Ministry of Tourism, Trade and Industry established under Cap 327, of the Laws of Uganda. UNBS is mandated to co-ordinate the elaboration of standards and is (a) a member of International Organisation for Standardisation (ISO) and (b) a contact point for the WHO/FAO Codex Alimentarius Commission on Food Standards, and (c) the National Enquiry Point on TBT/SPS Agreements of the World Trade Organisation (WTO). The work of preparing Uganda Standards is carried out through Technical Committees. A Technical Committee is established to deliberate on standards in a given field or area and consists of representatives of consumers, traders, academicians, manufacturers, government and other stakeholders. Draft Uganda Standards adopted by the Technical Committee are widely circulated to stakeholders and the general public for comments. The committee reviews the comments before recommending the draft standards for approval and declaration as Uganda Standards by the National Standards Council. Committee membership The following organisations were represented on the Technical Committee for Management System Standards UNBS/TC 10 in the development of this standard: Alliance of Beauty Associations Beauty Operators Association & Training Network (BOATNET); Headlines Beauty Parlour Kampala City Council (KCC) Pearl Institute of Cosmetology Pearl Royale Limited Salon Ultra Sparkles Salon Tiner International School of Beauty Uganda Salon Operators and Hairdressers Association Union of Hairdressers Association Wakiso District Council iv UNBS yyyy All rights reserved
Introduction These requirements for hygiene in commercial skin penetration, hairdressing, beauty and natural therapy outline and review the infection prevention techniques that are critical in reducing the risk of disease transmission. Skin penetration, hairdressing, beauty and natural therapy are regulated under the Public Health Act, Cap 281 of 2000. Combs, brushes, towels and hands present a limited risk of transmission of diseases such as ringworm, head lice, herpes, staphylococcus and streptococcus. Skin penetration, hairdressing and beauty and natural therapy procedures pose particular public health risks if they are not conducted in a safe and hygienic manner. These risks may be to the operator, as well as the client, and can include the transmission of infectious diseases such as HIV-AIDS and Hepatitis B. Instruments such as razors, scissors and clippers may potentially break the skin surface and come in contact with blood and body fluids providing an opportunity for the spread of infections such as HIV and Hepatitis. To reduce these risks, operators are required to maintain premises and equipment in a hygienic condition, and to undertake procedures in a safe and appropriate manner. Some of the requirements within this standard are mandatory, while others indicate 'best practice'. The word "shall" has been used to indicate the mandatory requirements and the word "should" describes the best practices to be undertaken. UNBS 2008 All rights reserved v
UGANDA STANDARD US 713: 2008 Requirements for hygiene in commercial skin penetration, hair dressing, beauty and natural therapy 1 Scope 1.1 This Uganda Standard covers requirements for the hygiene in commercial skin penetration, hair dressing, beauty and natural therapy. The guidelines also outline and review the infection prevention techniques that are critical in reducing the risk of disease transmission. It provides operators with information that enables them to take all reasonable precautions towards infection control. By following these provisions, operators can be reassured that they are minimizing the risk of transmitting infectious diseases. 1.2 This standard applies to commercial operators involved in: a) beauty treatments including facials, waxing, massage, skin peels, manicures and pedicures; and b) hairdressing services including cutting, shaving, coloring, and perming; and c) skin penetration including tattooing, acupuncture, ear piercing and electrolysis; 2 Normative references The following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. US 201, Drinking (potable water) Specification US 484, Labelling of cosmetics General requirements US 652, Disinfectants Glossary of terms Public Health Act, Cap 281 of 2000. 3 Terms and definitions For the purposes of this standard, the following terms and definitions shall apply. 3.1 antiseptics substances capable of destroying or preventing the growth of most micro-organisms under prescribed conditions of use and are used specifically for application to living tissue, such as skin 3.2 barber hairdresser who cuts hair and shaves beards as a trade UNBS 2008 All rights reserved 1
3.3 cleaning removal of "dirt" and the reduction in the number of micro-organisms on a surface, by washing with soap or a suitable detergent 3.4 disinfectants chemical agents used for disinfection 3.5 disinfecting process of reducing the numbers of active micro-organisms to a level where infection is unlikely to occur, by the application of chemical disinfectants NOTE Unlike the process of sterilization, disinfecting articles does not always produce a complete destruction of micro-organisms. 3.6 hair style style in which hair is cut and arranged 3.7 home based operations business operations that are conducted at the home or residence of the operator 3.8 infection control procedures methods that must be followed to eliminate or minimize the risk of transmission of infectious diseases among persons 3.9 mobile operations businesses that travel to the client's residence such as home, business, nursing home or hospital and include businesses that operate from a caravan or other vehicle 3.10 neaten, groom care for one's external appearance 3.11 operator any person who cuts, shaves, removes, colours, dresses, curls and/or treats hair; performs facial / skin treatments, massage, manicure, pedicure, or deals with skin, hair and nails; pierces, tattoos, or penetrates the skin for in any way for fee or reward. The term "operator" does not include a medical practitioner, physiotherapist, podiatrist, registered nurses, dentists, cholesterol and blood sugar testers in the course of their profession. However, if a medical person operates a business that is not in the "normal" course of their profession, then these guidelines will apply to that operation. 3.12 premises any commercial premises upon which a business is conducted and includes purpose designed premises or premises fitted out specifically for the type(s) of operation carried out, however the definition does not include home-based operations or mobile operations where the operator visits the client's residence. 3.13 skin penetration practices such as ear piercing, hair removal electrolysis, tattooing, acupuncture, body piercing, semipermanent make-up and any other procedures whereby the skin is cut or pierced 2 UNBS 2008 All rights reserved
US 713:2008 3.14 sterilizing process which kills all living micro-organisms NOTE The most effective method of sterilization is the application of moist heat under pressure for a specific time and pressure, as occurs in an autoclave. 3.15 universal precautions work practices which assume that all blood and body substances are potential sources of infection. Such practices involve the use of safe procedures and protective barriers to ensure that operators will have maximum protection from infections 4 Operational requirements 4.1 Standard precautions for operators 4.1.1 General Operators involved in any procedure, ranging from hairdressing to skin penetration, should protect their customers and themselves by developing safe and hygienic work practices. 4.1.2 Requirements for operators personal hygiene 4.1.2.1 Hands shall be washed thoroughly with water and soap or an antibacterial cleanser and dried with disposable paper towels then disinfected before treating every client and after any activity which may contaminate the hands. 4.1.2.2 Operators should always wear clean outer clothing or a clean over-garment when attending to a client. 4.1.2.3 Other protective attire that should be worn include: a) disposable gloves when conducting skin penetration practices; b) aprons and gloves when mixing chemicals; c) protective footwear when using sharps such as razors, scissors, clippers and needles and chemicals; and d) protective eye wear when conducting any skin penetration practice. 4.1.2.4 Operators should not smoke, eat or chew gum when attending a client. 4.2 Precautions related to communicable diseases 4.2.1 No operation may be conducted on clients with scalp infections and/or infestations, unless single-use, disposable gloves are worn and equipment is cleaned and disinfected with intermediate level disinfectant immediately after each use on such clients. Single-use disposable gloves must be discarded between clients. 4.2.2 Any operator with open lesions or weeping dermatitis such as eczema on the hands or other areas which are not adequately covered shall refrain from direct contact with clients until the condition clears or shall wear single-use, disposable gloves. Single-use, disposable gloves shall be discarded between clients. Broken skin or minor skin infections on exposed parts of the operator's body should be covered with a bright coloured water proof dressing. UNBS 2008 All rights reserved 3
4.2.3 Any client who knows or suspects that he/she is suffering from a communicable disease or infectious skin disease should not perform, or have performed on themselves, any of the operations defined in this standard. 4.3 Precautions related to head lice and scabies 4.3.1 Barbering or hairstyling should not be performed on a client affected or suspected to have an infestation (for example, head lice). The client should be advised to consult a physician or the Health Authority. 4.3.2 Should a client be treated who is found to have head lice or scabies, all instruments and linen used on the client shall be immediately isolated at the conclusion of the treatment. 4.3.3 Linen should be washed in hot water and dried; and equipment should be cleaned and treated using a specific insecticidal treatment that can be obtained from a pharmacy. Any hair that has been cut should be immediately disposed of in a sealed bag then thrown in a dustbin. 4.4 Laundry 4.4.1 Only clean linen, towels and other clothing or cloths shall be placed on clients. Clean items shall be stored in an area that protects them from being soiled through hair, dust etc. 4.4.2 Dirty linen shall be placed into a suitable receptacle after use. All linen shall be washed in hot water (> 70 o C) with an appropriate detergent. 4.4.3 Operators shall immediately disinfect and wash any blood-stained linen. 4.5 First aid A first aid kit shall be held in every premises, and should stocked with at least the provisions including, surgical spirit; a bandage; plasters, cotton wool, gauze, forceps; and Panadol. 5 Precautions for infection control 5.1 General There is a significant risk of transmitting infectious diseases through skin penetration, hairdressing, and beauty and natural therapy operations. Operators therefore need to adopt appropriate procedures to minimize these risks. 5.2 Precautions related to equipment 5.2.1 All items such as combs, brushes, scissors, clippers, manicuring and pedicuring instruments and make-up equipment should be cleaned and disinfected between clients as recommended below. a) All combs and brushes shall be thoroughly cleaned and disinfected with a low level disinfectant after each use. b) Scissors shall be cleaned and disinfected with a low level disinfectant after each use (for example, barbercide). c) Electric clippers and their blades shall be cleaned and disinfected with an intermediate level disinfectant after each use. d) Any instrument, when visibly contaminated with blood products, shall be cleaned and disinfected with an intermediate level disinfectant. 4 UNBS 2008 All rights reserved
US 713:2008 e) Non-disposable clipper blades shall be cleaned and disinfected with an intermediate level disinfectant. (To avoid rusting of the blades it is recommended that a lubricant should be applied immediately after cleaning. 5.2.2 Operators should have enough cleaned and disinfected equipment to allow for the busier times. If the client's skin is accidentally cut, the cutting instrument should be immediately disposed of, or cleaned and sterilised before being re-used. 5.2.3 New single-use disposable razor blades should be used for each person, and used blades should be placed in a sharps container. Reusable cut-throat razors shall not be used. Disposable razor blades are recommended and must be discarded safely, immediately after each use. 5.2.4 Treatments such as depilatory waxes and lotions, as well as make-up and other lotions and gels can also act as sources for disease transmission if they are incorrectly handled. 5.2.5 Disposable neck strips or clean towels shall be provided under reusable capes for each client. 5.2.6 The neck rest and the hair-washing bowl shall be cleaned and disinfected between clients. 5.3 Precautions related cleaning of equipment 5.3.1 General By implementing appropriate infection control procedures infectious disease transmission can be eliminated or minimized. To achieve this, operators need to perform the routines of cleaning, disinfecting and sterilizing, as required depending on the type of equipment and its application. 5.3.2 Cleaning prior to disinfecting Cleaning is vital prior to disinfecting utensils, as any build-up of organic material (hair, grease etc) will prevent the disinfectant from working effectively. Instruments that are able to be immersed in water should be cleaned in the following manner: a) washing in cold water with soap or a suitable detergent; b) drying with a clean cloth; and c) disinfection. 5.3.3 Disinfection of equipment 5.3.3.1 Disinfection is a process that reduces the number of micro-organisms to a level where infection is unlikely to occur. All equipment used for hairdressing, skin penetration and beauty and natural therapy should be cleaned and disinfected. (Items used to penetrate the skin should be sterilized between clients as in 5.4). 5.3.3.2 The procedure used for disinfecting depends on the type of disinfectant and instrument. It is therefore important that the manufacturer's instructions are followed in relation to the dilution of the disinfectant and the contact or immersion time required. Chemicals that are appropriate for disinfecting utensils include: alcohol, ethyl 70 %; alcohol, isopropyl 70 %; Hospital Grade Disinfectant; and sodium hypochlorite 1 % UNBS 2008 All rights reserved 5
5.3.3.3 All disinfecting immersion containers should be changed daily and scrubbed out to remove any build up of organic matter that will reduce the effectiveness of the disinfectant. 5.3.3.4 Electric clippers and other metal or electrical items should not be immersed in water. Cleaning and disinfection should instead occur by wiping them with a alcohol impregnated cotton pad to remove all "dirt", then spraying or wiping them with an appropriate alcohol based disinfectant. 5.3.3.5 Glutaraldehyde is not a recommended disinfectant, due to its hazardous and corrosive nature. 5.3.3.6 Ultraviolet cabinets do not disinfect or sterilize items as the radiation does not penetrate to all surfaces of the articles exposed. They should only be used for storage of clean and disinfected items.. ADDITIONAL PRECAUTIONS FR SKIN PENETRATION 5.4 Additional precautions for skin penetration 5.4.1 Sterilization of equipment 5.4.1.1 There is a potential for serious infection to (both the client and the operator) occur during skin penetration procedures. Instruments may become contaminated by infected blood or serum, and the transmission of viruses such as HIV-AIDS and Hepatitis B is possible. 5.4.1.2 To minimize the risks associated with these procedures, operators are required to take additional infection control precautions. These precautions include sterilizing penetrating equipment (as opposed to disinfecting), and handling instruments in a manner that reduces the risk of contamination. 5.4.1.3 Items that are required to be sterile are those in which the skin will be pierced or penetrated such as tattoo needles, ear piercing studs, electrolysis needles or acupuncture needles and their associated devices. 5.4.1.4 An additional precaution that is strongly recommended is the use of sterile disposable single-use needles or penetrating items (sharps). These sharps should be disposed of in a sharps container after a single use, as they are usually not designed to be re-sterilized. 5.4.1.5 All needles or sharps that penetrate the skin, as well as any items that hold the needle (such as the tattooing gun needle bar or nozzle) should be in a sterile condition immediately prior to use. 5.4.2 Cleaning prior to sterilization 5.4.2.1 Reusable skin penetration equipment, including needles, should be cleaned in the following manner: a) rinse the equipment in cold water to remove any blood or serum. (hot water at this stage will cause coagulation and adherence of matter to the instrument and prevent complete sterilization); b) wash the equipment using hot water and soap or detergent. (using hot water with detergent at this stage will help remove any grease and oils); c) rinse the equipment thoroughly in hot water (greater than 70 C) and allow to dry; d) sterilise the equipment using an autoclave or other approved sterilizer in accordance with the times and temperatures indicated in the section on Autoclave;; e) Store under cover in a clean, dry and dust free environment. 5.4.2.2 For the operator's safety when cleaning items, disposable (and durable) gloves and protective clothing should be worn. Splashing and handling needles other than with forceps should be avoided. 6 UNBS 2008 All rights reserved
US 713:2008 5.4.2.3 Needles should be visually inspected for damage prior to cleaning. Use of a clean nylon brush or pad in the cleaning stage will help to remove material. 5.4.3 Autoclave sterilization using moist heat 5.4.3.1 If an autoclave is to be used for sterilization, cleaned needles and sharps should be subjected to saturated steam under pressure at the appropriate time and temperature ratios shown in Table 1. Table 1 Time and temperature ratios for sterilization Temperature C Holding time min Pressure kpa 121 15 103 (15 psi) 126 10 138 kpa (20 psi) 134 3 206 kpa (30 psi) 5.4.3.2 Needles should always be removed with sterile forceps to avoid any contamination. It is important that autoclaves are checked and serviced regularly to ensure that their operating times and pressures are appropriate. 5.4.4 Problems associated with using other equipment for sterilization 5.4.4.1 Dry heat sterilizers should not be used for sterilizing equipment as their application is limited due to the relatively long sterilization times and the likelihood of materials being damaged by the 160 o C-180 o C temperatures usually used. There is also a long warm up period and limited control over temperature within the chamber space. 5.4.4.2 Pressure cookers are not sterilizers and should not be used. 5.4.4.3 Ultra-sonic cleansers can be used during tattooing to clean ink off needles; however they are not sterilizers, and needles are still required to be cleaned and sterilized between clients. 5.4.4.4 The use of ultra-sonic cleansers shall be in accordance with Uganda Standards. 5.4.4.5 Any broken, brittle or damaged needles, razors or studs should not be used and should be disposed in a sharps container. 5.4.4.6 All holding trays for needles and tattoo gun/actuating devices should be sterilised before use. Wooden holders should not be used to hold tattoo guns or other actuating devices. 3.2 DISINECTING NON- PENETRATING EQUIPMENT 5.5 Disinfecting non-penetrating equipment Items that do not penetrate the skin and are not involved in the direct process of penetration should be cleaned and disinfected as in 5.1.2..3 SKIN PREPARATION 5.6 Skin preparation before piercing The client's skin should be clean and free from infection. Before any skin penetration procedure is carried out, the penetration site should be wiped with sterile disposable swabs containing 80 % ethyl alcohol or 60 % 70 % isopropyl alcohol. Skin should be just dry before it is penetrated and should not be touched by the operator's hands. PENETRATION INSTRUMENTS UNBS 2008 All rights reserved 7
5.7 Handling skin penetration instruments 5.7.1 Gneral Needles and other penetrating devices should not be handled in a manner that can lead to their contamination. Single-use disposable gloves should be worn when conducting skin penetration operations 5.7.2 Dyes for tattooing/semi-permanent make up Pigment dyes may be contaminated from viruses (such as Hepatitis B and C) in blood and serum. To avoid these contaminated dyes from being the source of transmission to other clients, pigments in new or sterile containers or "caps" should be used for each client. Dyes should be administered from "collapsible" tubes, or by another appropriate manner, so as to reduce the chance of contamination. 5.7.3 Pads, swabs, cloths, tissues, cotton wool Some skin penetration procedures require the skin to be wiped down during the process to remove ink, sweat, plasma and blood. Any swabs, cloths, paper or cotton gauze used during skin penetration should be singleuse and should be disposed of immediately after use in a water-proof bag. These bags should then be sealed and disposed of in a recommended manner as prescribed by National Environment Management Authority (NEMA). eedle -STICK INJURIES Any operator or client who receives a needle-stick injury (that is,penetration of their skin with an object that has penetrated another person's skin) should seek immediate medical attention from a qualified medical practitioner. 5.8 Ear and body piercing 5.8.1 Closed ear piercing Closed ear piercing studs should be in a sterile condition immediately prior to use. Thorough cleansing and disinfection of the gun, and particularly the stud holder, is necessary before being used on any person. 5.8.2 Body piercing Body piercing should not be performed with an ear piercing gun. Appropriate sterile body piercing needles and equipment should always be used. EMISES STRUCTURE 6 Requirement for premises Hairdressing premises, beauty salons, natural health clinics and skin penetration premises shall comply with the provisions of the Public Health Act and any regulations thereof and should be constructed and fitted-out with materials that can be easily cleaned and disinfected. This may include the following: a) all surfaces and fittings should be constructed of smooth, impervious, durable and preferably light/bright coloured material; b) adequate lighting to enable proper operation of the premises; c) separate hand washing facilities with adequate cold and hot water and these should be provided in the room of operation or in a central location; d) soap or a suitable anti-bacterial lotion, and disposable paper towels or a hot air drier, should be provided at the hand washing facilities. A separate staff sink and laundry facilities should be considered in the design of the premises; 8 UNBS 2008 All rights reserved
US 713:2008 e) adequate sanitary facilities including toilets, waste disposal bins and waste water disposal; and f) the premises shall be habitable and in any case not less than 8feet by 10 feet and located away from garbage heaps, dust etc. 7 Record keeping Operators shall keep the following records or registers which shall be made available to inspectors: a) clients' appointments (time, date and name) and treatments, to assist in disease investigation and control if an outbreak of an infectious disease occurs. This is particularly important for procedures involving skin penetration. b) an operator s license that is well displayed in a conspicuous place; c) health examination certificates issued by local authorities; d) inspection permit/report; e) records related to training in operations of salons; and f) list of equipment and their status. 8 Waste disposal General waste, such as paper, hair and food scraps, shall be disposed of in a refuse receptacle with plastic lining and a close-fitting lid. All sharps, including razors, old scissors, glass, cosmetic lancers and needles, should be placed in a sharps container and disposed of in accordance with the direction of local authorities and NEMA. Chemicals shall also be safely disposed off in accordance with National Environmental Management Authority (NEMA) requirements. UNBS 2008 All rights reserved 9
Annex A (informative) Classification of disinfectants for use in beauty, barbering and hair styling salons Low level Quaternary ammonium compounds. Some phenols and 3 % hydrogen peroxide. Intermediate level 5.25 % household bleach; 1 part bleach and 9 parts water; 70% isopropyl alcohol, and iodophors High level 2 % gluteraldehyde or 6 % hydrogen peroxide Most disinfectants at this level may also achieve sterilization if used for longer time periods. Kills some bacteria and viruses for example, staphylococcus, herpes, HBV, HCV, and HIV Does not kill Mycobacterium tuberculosis, fungi, or spores Kills the microorganisms for low level disinfectants plus fungi but does not kill Mycobacterium tuberculosis, or spores. Kills all viruses, bacteria (including Mycobacterium tuberculosis) but does not kill spores Low level disinfectants should be used to disinfect noncritical items, for example, work surfaces, service tray. The disinfectant should be prepared and used according to manufacturers directions. Intermediate level disinfectants may be used in place of a low-level disinfectant to disinfect work surfaces and equipment. Effective for some semi-critical items. Used for semi-critical items and for critical items that cannot withstand heat sterilization 10 UNBS 2008 All rights reserved
US 713:2008 Annex B (informative) Classification of items for disinfection Classification Disinfectant Method Non-critical Items that may come into contact with intact skin and/or are used for routine housekeeping Items that are rarely contaminated with blood/body fluid, for example, client chair and table Items that are often contaminated with blood/body fluid, e.g. lamp handles, clip cord, dirty instrument tray, tattoo motor frame, tattoo chuck or clamp, pump packs, spray bottle Semi-critical Items come into contact with mucous membrane or nonintact skin, or they hold a sterile item. Low level disinfectants are good for non-critical items Detergent is adequate Low level disinfectants, for example, quaternary ammonium compounds or Quats, or a combination of a low level disinfectantdetergent; 3 % hydrogen peroxide compounds Intermediate and high level disinfectants are good for items that come into contact with mucous membranes or non-intact skin, or that hold a sterile item. Clean to remove dust or soil from items/equipment and surfaces with a solution of detergent and warm water. Clean and follow with low level disinfection for reusable items and environmental surfaces that may be contaminated. Wet or spray a paper towel to wipe the clean item/surface with the disinfectant prepared and used according to the manufacturer s directions that is, allow sufficient surface contact time with the disinfectant. Items that cannot be soaked and hold a sterile item that may have been splattered with blood/body fluids. Intermediate level disinfectants, for example, 70 % isopropyl alcohol or 1 part 5.25 % household bleach and 9 parts water. Bleach may be corrosive to metal. Clean item is wet wiped with an intermediate level disinfectant level disinfectant and air dried after each client. Items capable of being soaked and hold a sterile item that may have been splattered with blood/body fluids, for example, needle pusher. Critical High level disinfectants, for example, 2 % gluteraldehyde or 6 % hydrogen peroxide. Clean item is soaked for a number of minutes, as specified by the manufacturer, to achieve a high level of disinfection. UNBS 2008 All rights reserved 11
Items which enter deep in the skin, for example, tattoo or ear/body piercing needles, hypodermic needle used during electrolysis, jewellery. Sterile items must be used to enter the skin. Metal items to pierce the skin should be purchases sterile or packaged and sterilized by a steam or dry heat method. Pre-sterilized, single use, packaged needles or earring studs should be used. Items that are not pre-packaged as sterile must be sterilized. Sterile electrolysis needles should never be saved and reused on the same client Chemicals that sterilize are not recommended for critical items as it is difficult to monitor and confirm that sterilization has been achieved and the packaging of items to maintain sterility is not possible. 12 UNBS 2008 All rights reserved
US 713:2008 Annex C (informative) Precautions to observed when conducting manicure and pedicure C.1 All non-porous manicure and pedicure implements shall be cleaned, disinfected and sterilized prior to each service. C.2 The salon and operator shall be currently licensed. C.3 No manicure, and pedicure operations shall be carried out to any person who has or suspected to have a skin infection and such persons shall not be allowed to utilise a foot spa bath. C.4 Any type of hair removal (to those parts of the body close to the feet or fingers) service shall be carried out to the client within 24 h prior to a pedicure or manicure. C.5 No pedicure or manicure shall be undertaken, if you have broken skin or lesions, such as cuts or nicks,. C.6 The salon shall be maintained clean, free of trash and set up with clean instruments. C.7 The buffer blocks should have no visible marks on them. C.8 Implements shall not be stored in an open tray and not used from one customer to another. C.9 Disposable items shall not be re-used (cotton balls, orangewood sticks, nail wipes, disposable towels). C.10 Metal pushers and files, cuticle nipper and scissors, tweezers, finger and toe nail clippers and electric drill bits shall be cleaned, disinfected and sterilized by autoclave, dry heat sterilizer or UV light. C.11 The following materials that are used during a manicure or pedicure shall be replaced with new or clean articles for each client: terry cloth towels; finger bowls; and spatulas that contact skin or skin products from multi-use containers. UNBS 2008 All rights reserved 13
Certification marking Products that conform to Uganda standards may be marked with Uganda National Bureau of Standards (UNBS) Certification Mark shown in the figure below. The use of the UNBS Certification Mark is governed by the Standards Act, and the Regulations made thereunder. This mark can be used only by those licensed under the certification mark scheme operated by the Uganda National Bureau of Standards and in conjunction with the relevant Uganda Standard. The presence of this mark on a product or in relation to a product is an assurance that the goods comply with the requirements of that standard under a system of supervision, control and testing in accordance with the certification mark scheme of the Uganda National Bureau of Standards. UNBS marked products are continually checked by UNBS for conformity to that standard. Further particulars of the terms and conditions of licensing may be obtained from the Director, Uganda National Bureau of Standards. UNBS 2008 All rights reserved 14
US 713:2008 ICS nn.nnn.nn Price based on 21 pages UNBS 2008 All rights reserved